Asmsc - Sbarrington Il S C
Asmsc - Sbarrington Il S C is a Dermatology Physician in South Barrington, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2 Executive Ct Ste 3South Barrington, IL 60010-9507
Phone: (269) 985-0021
Fax: (269) 281-0281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
Record details
| NPI number | 1891382032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clarence Brown — President / Ceo · (269) 985-0021 |
| NPI enumerated | December 22, 2020 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 2570 Niles Rd, Saint Joseph, MI 49085-3203 |